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Pirfenidone

Generic Name
Pirfenidone
Brand Names
Esbriet, Pirfenidone axunio (previously Pirfenidone AET), Pirfenidone Viatris
Drug Type
Small Molecule
Chemical Formula
C12H11NO
CAS Number
53179-13-8
Unique Ingredient Identifier
D7NLD2JX7U
Background

Pirfenidone is a synthetic pyridone drug. It is an antifibrotic agent with anti-inflammatory and antioxidant properties that is used to treat idiopathic pulmonary fibrosis (IPF), which is a chronic, progressive form of interstitial pneumonia. While its mechanism of action is not yet fully understood, pirfenidone is proposed to primarily regulate tumor necrosis factor (TNF) pathways and modulate cellular oxidation. The FDA first approved pirfenidone alongside nintedanib as one of the first drugs to treat IPF.

Indication

Pirfenidone is indicated for the treatment of idiopathic pulmonary fibrosis (IPF). In Canada and Europe, it is approved in adults only.

Associated Conditions
Idiopathic Pulmonary Fibrosis (IPF), Mild Idiopathic Pulmonary Fibrosis, Moderate Idiopathic Pulmonary Fibrosis

Open-label Study to Assess the Effectiveness of Pirfenidone in Participants With Idiopathic Pulmonary Fibrosis (IPF).

Phase 3
Completed
Conditions
Idiopathic Pulmonary Fibrosis
Interventions
First Posted Date
2017-07-06
Last Posted Date
2020-11-20
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
60
Registration Number
NCT03208933
Locations
🇷🇺

Regional State Budgetary Institution of Healthcare "Regional Cinilcal Hospital"; Pulmonology, Barnaul, Altaj, Russian Federation

🇷🇺

Pulmonologii NII FMBA of Russia, Moscow, Moskovskaja Oblast, Russian Federation

🇷🇺

Budget Institution of Healthcare of Voronezh Region "Voronezh Regional Clinical Hospital #1", Voronezh, Russian Federation

and more 8 locations

Pirfenidone Combined With Standard First-Line Chemotherapy in Advanced-Stage Lung NSCLC

Phase 1
Completed
Conditions
Metastatic Lung Cancer
Non Small Cell Lung Cancer
Advanced Cancer
Squamous Cell Lung Cancer
Non-Squamous Non-Small Cell Neoplasm of Lung
Lung Cancer
Interventions
First Posted Date
2017-06-06
Last Posted Date
2025-05-20
Lead Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Target Recruit Count
48
Registration Number
NCT03177291
Locations
🇺🇸

H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, United States

Quality of Life Study in Participants With IPF Under Pirfenidone Treatment

Completed
Conditions
Idiopathic Pulmonary Fibrosis
Interventions
First Posted Date
2017-04-14
Last Posted Date
2020-08-21
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
102
Registration Number
NCT03115619
Locations
🇬🇷

University General Hospital of Ioannina, Ioannina, Greece

🇬🇷

Sotiria Hospital for Diseases of the Chest, Academic Department of Pneumonology, Athens, Greece

🇬🇷

University General Hospital of Athens "Attikon", B' University Pulmonary Clinic, Chaidari, Greece

and more 4 locations

Targeting Residual Activity By Precision, Biomarker-Guided Combination Therapies of Multiple Sclerosis (TRAP-MS)

Phase 1
Recruiting
Conditions
Multiple Sclerosis
Interventions
First Posted Date
2017-04-12
Last Posted Date
2025-04-27
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
250
Registration Number
NCT03109288
Locations
🇺🇸

National Institutes of Health Clinical Center, Bethesda, Maryland, United States

A Study of Pirfenidone in Patients With Unclassifiable Progressive Fibrosing Interstitial Lung Disease

Phase 2
Completed
Conditions
Lung Diseases, Interstitial
Interventions
Drug: Placebo
First Posted Date
2017-04-04
Last Posted Date
2021-01-13
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
253
Registration Number
NCT03099187
Locations
🇦🇺

John Hunter Hospital; Respiratory Department; Respiratory Department, New Lambton Heights, New South Wales, Australia

🇦🇺

Lung Research Queensland, Nundah, Queensland, Australia

🇦🇺

Princess Alexandra Hospital, Department of Respiratory and Sleep Medicine, Woolloongabba, Queensland, Australia

and more 63 locations

Pirfenidone as Treatment of Skin Fibrosis in Systemic Sclerosis

Phase 2
Conditions
Systemic Sclerosis
Interventions
Drug: Steroids
Drug: Placebo oral capsule
First Posted Date
2017-03-01
Last Posted Date
2017-03-01
Lead Sponsor
RenJi Hospital
Target Recruit Count
72
Registration Number
NCT03068234
Locations
🇨🇳

RenJi Hospital, Shanghai, Shanghai, China

Post Marketing Surveillance of Nintedanib in Indian Patients With Idiopathic Pulmonary Fibrosis

Completed
Conditions
Idiopathic Pulmonary Fibrosis
Interventions
First Posted Date
2017-02-08
Last Posted Date
2025-05-16
Lead Sponsor
Boehringer Ingelheim
Target Recruit Count
21
Registration Number
NCT03047031
Locations
🇮🇳

P.D. Hinduja National Hospital, Mumbai, India

🇮🇳

Asthma Bhawan, Jaipur, India

🇮🇳

CK Birla Hospitals, The Calcutta Medical Research Institute, Kolkata, India

and more 5 locations

Study of Efficacy and Safety of Pirfenidone in Patients With Fibrotic Hypersensitivity Pneumonitis

Phase 2
Terminated
Conditions
Interstitial Lung Disease
Interventions
Other: Placebo controlled
First Posted Date
2016-11-08
Last Posted Date
2023-01-09
Lead Sponsor
Evans Fernandez Perez
Target Recruit Count
40
Registration Number
NCT02958917
Locations
🇺🇸

National Jewish Health, Denver, Colorado, United States

Efficacy, Safety, and Tolerability Study of Pirfenidone in Combination With Sildenafil in Participants With Advanced Idiopathic Pulmonary Fibrosis (IPF) and Intermediate or High Probability of Group 3 Pulmonary Hypertension

Phase 2
Completed
Conditions
Idiopathic Pulmonary Fibrosis
Interventions
First Posted Date
2016-11-01
Last Posted Date
2020-11-12
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
177
Registration Number
NCT02951429
Locations
🇳🇱

Vu Medisch Centrum; Afdeling Longziekten, Amsterdam, Netherlands

🇹🇷

Yedikule Gogus Hastaliklari ve Gogus Cerrahisi EAH;Gogus Hastaliklari, Istanbul, Turkey

🇿🇦

University of Stellenbosch; Respiratory Research, Parow, South Africa

and more 53 locations

The Efficacy and Safety of Pirfenidone in Patients With Heart Failure and Preserved Left Ventricular Ejection Fraction

Phase 2
Completed
Conditions
Cardiac Failure
Interventions
Drug: Placebo
First Posted Date
2016-10-13
Last Posted Date
2020-07-02
Lead Sponsor
Manchester University NHS Foundation Trust
Target Recruit Count
129
Registration Number
NCT02932566
Locations
🇬🇧

Manchester University NHS Foundation Trust, Manchester, Greater Manchester, United Kingdom

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